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Patient Centered Medical Home Resources

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Browse this page for improvement tips, current medical home initiatives, helpful tools, change resources and NCQA information. For educational options and tools, please visit our Training Opportunities page.

NCQA Recognition Checklists:
Below are a few examples of application checklists used by members and by national organizations to make it easier to track each standard and how close your practice(s) are to fulfilling requirements for recognition. Click each one to view:
-MMCPHO General Checklist (2014 Standards)
-Maine Medical Partners (2011 Standards)
-Southern Maine HealthCare (Individual Practice)
-Community Care of North Carolina (2011 Standards)

Additonal Resource Contents:                                                               
-NCQA Submission Examples (2011 Standards)
-National Committee for Quality Assurance (NCQA)
-Community Care of North Carolina (CCNC)
-Institute for Healthcare Improvement
-Maine Quality Counts
-Safety Net Medical Home Initiative
-American Academy of Family Physicians (AAFP)
-American College of Physicians (ACP)
-General Practice Improvement Articles

Submission Examples

Maine Medical partners has allowed us to share some of the tools and material they have submitted as part of their application for NCQA recognition. Click here to view

National Committee for Quality Assurance (NCQA)

2014 NCQA Standards Are Available

Key Changes Include:

    • Enhanced emphasis on team-based care
    • Care management focus on high-need populations
    • Aligning of quality improvement with the triple aim
    • Sustained transformation
    • Integration of behavioral health

For more information, visit NCQA's PCMH page or click below for a

NCQA Standards Crosswalk 2011 to 2014

FAQ: NCQA Recognition Programs is implementing a question and answer portal where customers questions are submitted, tracked, and answer through the web. The portal should be up and running sometime in early 2014

A Video Guide for NCQA PCMH recognition "Transitioning Your Practice to the Patient Centered Medical Home"
NCQA worked with Merck to create this PCMH transition video for clinicians who are interested in PCMH Recognition. Visit the NCQA website to view the video (scroll down half the page to view the video)

"The Science of Improvement...On a Whiteboard!"
Institute for Healthcare Improvement Open School
These short videos offer instuction on improvement tools using visual examples. Taught by Robert Lloyd, Director of Performance Improvement at IHI.

Educational podcasts and webinars from NCQA:
Click here to view NCQA webinars on topics like Managing the complex Asthma Patient, PCMH principles, and HEDIS scores.

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Community Care of North Carolina (CCNC)

CCNC Resources: detailed how to workbook for practices, list of training webinars, policy and procedure cheat sheet, and a scoring spreadsheet
detailing point totals needed and accumulated for each standard.

PCMH Recognition Checklist 2011 (.pdf)

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Institute for Healthcare Improvement (IHI) 

IHI Website

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Maine Quality Counts

Quality Counts Website

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Safety Net Medical Home Initiative

Practice Transformation Resources: A helpful resource page with information about assessment, coaching, empanelment and quality improvement.

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Topics including PCMH, change management and practice level care management.

TransforMED Resources: A collection of trainings and publications TransforMED has put together for PCMH topics. 

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American Academy of Family Physicians (AAFP)

Family Practice Management: articles touching on access to care, staffing, EMR's and other PCMH components.

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American College of Physicians (ACP)

Resources about consumer role, policy and researcher information.

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General Practice Improvement Articles

Full Resource List
    -Bodenheimer High Performing Clinic - New England Journal of Medicine
    -Bodenheimer Transforming Primary Care - Health Affairs
    -Huddles Improve Efficiency -American Academy of Family Physicians
    -Specialists/Subspecialists and the Patient Centered Medical Home- CHEST

    -Implementing the Patient Centered Medical Home Model -
     Saftey Net Medical Home Initiative

    -Buy In Versus Ownership -
    -The Emerging Primary Care Workforce - Academic Medicine


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